Melasma: When Pigmentation Tells a Deeper Story
It starts as a faint patch. A shadow across your cheeks or forehead. But over time, it deepens—turning into a persistent patch of pigmentation that makeup barely hides.
This is melasma—a common yet complex skin condition that goes far beyond "just a tan."
At SkinWise Clinic, we believe your skin deserves not just correction, but care—with science, patience, and compassion.
What Is Melasma?
Melasma is a chronic skin condition marked by brown, tan, or gray-brown patches, typically on the face. It most commonly affects:
Cheeks
Forehead
Bridge of the nose
Upper lip
Chin
Occasionally, forearms or neck
It’s not dangerous—but it can cause significant emotional distress.
What Causes Melasma?
Melasma is a multifactorial pigment disorder, meaning several factors work together to trigger it:
☀️ Sun exposure – UV radiation is the strongest trigger
🤰 Hormonal changes – Pregnancy (chloasma), birth control pills, hormone therapy
🧬 Genetics – Runs in families
💊 Photosensitizing medications – Certain antibiotics, anti-epileptics
🧴 Cosmetic irritation – Harsh products or treatments
🔬 Underlying inflammation – Subclinical skin injury or free radical damage
Who Gets Melasma?
More common in women (especially during childbearing years)
Higher incidence in darker skin types (Fitzpatrick III–V)
Often triggered during pregnancy or after starting birth control pills
Common in tropical climates like India due to sun exposure
Is Melasma Curable?
Melasma isn’t "curable" in the traditional sense—but it is very treatable and can be beautifully managed. With the right plan, patients often see visible improvement in weeks to months.
Our Approach to Melasma at SkinWise Clinic
🌞 Sun Protection Is Non-Negotiable
Broad-spectrum SPF 50+ sunscreen (even indoors)
Tinted sunscreens (iron oxide blocks visible light)
Hats and umbrellas for added protection
🧴 Topical Treatments
Hydroquinone (in short-term regimens)
Azelaic acid, kojic acid, arbutin, niacinamide
Retinoids for skin renewal (only under medical supervision)
✳️ Oral Supplements
Polypodium leucotomos, antioxidants, tranexamic acid (if indicated)
💡 Advanced Procedures
Performed with caution and only under expert guidance:
Chemical peels (mild glycolic, lactic, TCA)
Microneedling with tranexamic acid
Low-fluence Q-switched laser or Pico laser (for resistant melasma)
What to Expect
Melasma is a journey, not a quick fix. It takes consistency, sun discipline, and realistic expectations. Recurrence is common—but manageable.
With proper care, your skin can regain its clarity and even tone—safely, ethically, and effectively.